Singh Akhilesh Kumar, Agarwal Prabhat, Baiswar Rohit
Assistant Professor, Sarojini Naidu Medical College, Agra, Uttar Pradesh.
Associate Professor, Sarojini Naidu Medical College, Agra, Uttar Pradesh.
J Assoc Physicians India. 2020 Nov;68(11):73-74.
Tuberculous meningitis (TBM) is a sub-acute / chronic meningitis known for its diverse manifestations which may lead to delayed diagnosis. An isolated oculomotor nerve palsy as an initial presentation of TB meningitis is quite rare. One such case has presented here; A 18 year female presented to us with ptosis of the left eye. Complete neurological examination revealed it to be a case of isolated 3rd cranial nerve palsy. Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) brain revealed no significant abnormality. Cerebrospinal fluid (CSF) analysis was done and diagnosis of Tuberculous Meningitis was confirmed. This case report focuses on the fact that tuberculous meningitis should be included in the differential diagnosis of isolated oculomotor nerve palsy.
结核性脑膜炎（TBM）是一种亚急性/慢性脑膜炎，以其多样的表现而闻名，这些表现可能导致诊断延迟。孤立性动眼神经麻痹作为结核性脑膜炎的初始表现相当罕见。这里就呈现了这样一个病例；一名18岁女性因左眼上睑下垂前来就诊。全面的神经系统检查显示这是一例孤立性第3颅神经麻痹病例。脑部计算机断层扫描（CT）和磁共振成像（MRI）未发现明显异常。进行了脑脊液（CSF）分析，确诊为结核性脑膜炎。本病例报告着重指出，结核性脑膜炎应纳入孤立性动眼神经麻痹的鉴别诊断之中。
